Organization
WASHINGTON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL C COOK (PRESIDENT)
(252) 946-4134
Entity
Organization
Contact information
Practice address
1206 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-4134
(252) 946-2432
Mailing address
1206 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-4134
(252) 946-2432
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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